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S '3 - <br /> Pagc <br /> �- l- ( <br /> 11M ill : <br /> �fA Personnel: He sure to include co y <br /> WElSS A55OCW TES p y o f this form i ri <br /> 2054 <br /> Job billing and field samplin r3 , <br /> (fif sity Al Suite 301/Berkley.G 94704/415644-3281 P r o j e c t ID S ( —2 t g files <br /> °Y <br /> CHAIN OF CUSTODY RECORD AND ANALYTIC INSTRUCTIONS NDTES TO LAB: <br /> Field Record 1}Specify analytic method and do- <br /> Laboratory Record taction limit in report <br /> 2}Notify us if there are any anom- I <br /> Sampled by J . ctrl Laboratory Name ,,,..,[—�.,- aloes peaks on CC or other scans. i? <br /> ` Sample/ <br /> 3)Duplicates listed in parentheses. <br /> } Sample ID Conta�ner Sampling Analyze/ Analyze for: Analytic 4)Cluestions/clarifications-CALL US. <br /> Typc Date Hold Mtthod/Detection Received by Date Condition <br /> t A8-2 .ti Limit <br /> L -A — � � }�`rclror��r ,t� i <br /> � � aT _ <br /> -V <br /> eG <br /> . Y <br /> } <br /> Released by FI&Zd Personnel, Date Rtleased by C ler Dat ~ Sro X <br /> ec by Lab Personnel, Date <br /> I. <br /> Sample Type Codes: Wavater, S=soll, O=other(specify) Tel phone <br /> Container Codes: V=VOA, bottle, P=Plast€c bottle, G lass bottle, T=brass tube, O=other(specify) txt <br /> 2. Analyze/Hold: A = Analyze, H = Hold--DO NOT ANALYZE UNLESS NECESSARY OR REQUESTED <br /> �., <br /> v{} <br /> k <br />